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General NPI Number Information
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NPI Number | 1689131922
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Entity Type | Organization
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Legal Business Name | ANGELINE HOME CARE SERVICES, INC.
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Dates
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Enumeration Date | 02/22/2019
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Last Update Date | 02/22/2019
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Provider Practice Location Address
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Address Line | 1305 W BULLARD AVE STE 3
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City | FRESNO
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State | CA
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Zip | 93711-2469
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Country | US
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Telephone | 559-779-4663
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Fax | 559-492-1787
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Provider Business Mailing Address
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Address Line | 1305 W BULLARD AVE STE 3
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City | FRESNO
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State | CA
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Zip | 93711-2469
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Country | US
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Telephone | 559-779-4663
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Fax | 559-492-1787
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TRINIDAD LIU
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Credential |
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Telephone | 559-283-3790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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